Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.


Most people choose to remove them for cosmetic reasons, especially skin tags that surface on the neck, eyelid, or face. In rare cases, a skin tag can get irritated and infected. In that case, skin tag removal is the best course of action to prevent infection from reoccurring. But, what causes them? And once you have them, you need to know how to get rid of skin tags. We’ll explain it all.


This depends on how many moles you have and the size of the moles. It is important that you do not run out of formula and interrupt the program. There is 11ml of H-Moles Formula product in one bottle, sufficient for over 120 applications. If you have moles in numerous places on your body, we suggest you get at least two bottles of formula or save 29% with our large size - 33ml with over 360 applications per bottle.*

What are some clear signs you should ask your dermatologist whether or not a mole needs a biopsy? If your mole is asymmetrical, has an irregular border, contains different colors, has a diameter larger than a pencil eraser, or is evolving in some way, you should mention it to your doctor. These are known as the ABCDEs of melanoma, according to the American Academy of Dermatology, because they signify when a mole may be cancerous.
Like moles, removal of skin tags poses a threat of exacerbation of the tumorous site. Though rare, it is possible to develop a malignant tumor by removal. If removal is desired or warranted, it can be achieved using a home treatment kit eg Skin Tag Zap™, dermatologist, general practitioner or similarly trained professional who may use cauterisation, cryosurgery, excision, laser,[10] or surgical ligation to remove the acrochorda.[2]
Offers are valid for a limited time only at Bethesda and Germantown offices. Service offerings may vary by office location, call to confirm service availability. Some services may require a consultation prior to purchase. Laser Hair Removal discounts are applicable towards package purchases only. Product discounts are valid while supplies last, no rain checks will be offered. Aesthetics packages require a minimum of three services purchased to receive promotional discount. Additional restrictions may apply.
Certain endocrine syndromes, metabolic syndrome, and hormonal imbalances. Researchers have found that certain hormone-related syndromes, including  polycystic ovarian syndrome and metabolic syndrome, may be related to skin tags. In fact, a small study of 110 patients with skin tags found 70 had diabetes. Additionally, researchers noted that patients with skin tags also had higher blood pressure. (4)
Apply tea tree oil. This oil is well known for its anti-fungal properties. Get out a clean cotton ball. Dip it into clean water and then place three drops of tea tree oil onto the ball. Wash the area of the skin tag and the skin 1” around it using the cotton ball. Repeat three times a day. This is an effective way to dry up your tag as long as you are consistent with oil applications.[11]
Susan Besser, MD, a family medicine specialist with Mercy Medical Center in Baltimore, says that if skin tags “get large, change color, or become infected or ulcerated, you need to see your doctor. In those cases, it may not be a simple skin tag and further evaluation is needed.” By and large, Todd Minars, MD, of MINARS Dermatology in Hollywood, Florida, states, “Skin tags are harmless. If they do not bother you, then there is no need to treat them.”
Lamisil cream is indicated for fungal infections of the skin. Skin tags are benign and not caused by a fungus. If you experience symptoms such as itching, burning, cracking, or scaling of the skin surrounding a skin tag, see your doctor. It is possible you have a fungal infection in the area and a topical medication such as Lamisil help treat it. It will not treat ordinary skin tags, though.

With smaller nevi, the growth is cut or ‘shaved’ off flush with the skin with a scalpel or surgical scissors,while larger moles may require cutting out and stitching of wound edges. Very large nevi may call for gradual removal, in which case your physician will remove a little more at each appointment until the entire growth is removed. This is a more serious procedure, calling for a skin graft from another part of the body.

I have been using the H Moles Formula for about 5 weeks. The biggest mole was near my right eye and it fell off immediately - like within 48 hours . . . however, I have several smaller, tiny ball on my neck and face which are taken a bit more time. I'm going to stick with the oil until I run out of it and see what happens. Keeping my fingers crossed! * - Nedra
I’ve actually used 3 of the methods mentioned, 1 was by accident! I actually tied a hair around one and after a few failed attempts I tied it so tight it almost hurt, a few days later it was gone. Also tried using wart remover but it was painful. And lastly, I accidentally scratched one off… I wouldn’t recommend this as it bleeds A LOT and it’s obviously painful. All work but I’d suggest tying thread or string!

Received my order promptly and began using it right away. There was a noticeable shrinkage in three of my moles after the first couple of applications, and the mole on my forearm is now almost completely gone - it is flat and looks to be a freckle at this point. I am very impressed with this product and will definitely try some of Healing Natural Oils other products. Thank you! * - Diane
Your skin is the heaviest organ in the body and takes up about 16 percent of your total weight.1 It serves many purposes, such as protecting your internal organs from microbes and environmental heat, as well as regulating body temperature.2 But due to its size and breadth, there's a chance that growths can unexpectedly form. One common example found among adults is skin tags.
If the skin tag is very small, the first thing Geraghty does is spray the bump with cold liquid nitrogen, a non-toxic substance. It's sprayed out of a can and is approximately -320 degrees Fahrenheit. “We direct this very cold spray of gas onto the spot for a few seconds, then we take a break and then we do a few seconds more and usually that’s enough to make the skin tag fall off within a few days,” said Geraghty.
The last issue to consider with the cost of mole removal is the charge for pathology. All moles, no matter how benign they may appear, should be sent for pathological study to confirm their histology. Finally, mole removal is basically elective and cosmetic when the mole appears clinically benign;however, if your dermatologist has suspicions or doubts regarding the benignity of the mole, then he is performing a medically indicated excisional biopsy.
Most moles are unnoticeable and do not require removal. Obvious moles that are dark, bumpy or just simply irritating, are the ones primarily considered for removal. Those who are conscious about how they look may consider this quick cosmetic enhancement. Healthwise, any mole that changes in appearance, must be promptly checked to ensure that it is not cancerous.

Skin tags are extremely common small tissue growths on the skin’s surface.  Up to half of all people may get one at more at some point in their lifetime. Most often, skin tags are harmless, painless, and don’t grow or change. While you can find them all over your body, skin tags often form on areas of the body subject to rubbing. You are most likely to find them on the neck, armpits, trunk and in body folds. (1)

Cutting the skin tag off. Most doctors prefer to remove a skin tag by cutting it off quickly in office. The procedure will begin with cleaning the area with an antiseptic solution. Depending on the size and location of the skin tag, the doctor may rub a numbing solution on your skin. Then, the doctor will use a very sharp tool to simply slice the tag away. The area will be cleaned again and a bandage will be applied. You can expect to feel very little pain during the procedure. Most only feel a pinprick sensation. Occasionally. tag removal may require the doctor to stitch the resulting wound.  (5)
Let the doctor cut off your tag's blood supply. With this method, called ligation, your doctor will apply a small band to the base of the tag. This will cut off the blood supply to the upper portion of the tag and cause it to die and fall off your skin. The process can take up to a few days and, depending on the size and location of the tag, may be a bit more painful.

The last issue to consider with the cost of mole removal is the charge for pathology. All moles, no matter how benign they may appear, should be sent for pathological study to confirm their histology. Finally, mole removal is basically elective and cosmetic when the mole appears clinically benign;however, if your dermatologist has suspicions or doubts regarding the benignity of the mole, then he is performing a medically indicated excisional biopsy.
If you are wanting a mole removed for cosmetic reasons, it is important you first consult with a board certified dermatologist to ensure the mole is not concerning for melanoma. Once the mole has been assessed and deemed to appear benign on clinical inspection, a discussion should be had on whether a shave removal, punch biopsy or excision would have the best cosmetic outcome.  With elevated moles a shave removal is usually performed which can leave a good cosmetic result in most cases.  For flat moles, punch biopsy or excision is usually performed, but you should have a discussion with your dermatologist on whether the scar or mole will be more cosmetically appealing.  At our office, shave removal of one mole is typically quoted at $138 to $200.  Lastly, it is important the mole be sent for pathology to a board certified dermatopathologist.  Pathology is charged separately by the dermaopathologist with prices ranging from $100 to $300.
I came across Amoils by accident while searching for something on Google. I was EXTREMELY skeptical; therefore, I was reluctant to try ANY of the products until I began reading the reviews, which lead me to check out the ingredients listed. Long story short, I prayed about it, and decided to give it a try, and I am SO VERY GRATEFUL I DID! My mind was further soothed upon review of Amoils BBB A+ rating. I received my products quickly and began using them immediately, following all instructions exactly as directed, and OMG, OMG, OMG, THEY WORK, THEY REALLY, REALLY WORKED!!! Within 2-3 days, moles were literally shrinking, and completely disappearing! Disappearing!!! IT WORKS!!! My Mom and sister are witnesses, and now, I'm back excited to place yet another order for other products for them to try. I couldn't be more satisfied!!! * - Tori
There are currently five conventional skin tag treatments used by dermatologists, depending on the size, location and condition of the skin. Discuss all options thoroughly with your health care provider to determine how to get rid of skin tags that are causing you distress. Remember, as they are generally not considered a medical condition, chances are your health insurance will not cover the removal options listed here. You likely will be required to pay out-of-pocket for these procedures.
Freezing the skin tag. Sometimes, a dermatologist will choose to remove a skin tag through freezing it off with super cold liquid nitrogen. In this method, the dermatologist cleans the area first and applies numbing cream. Then the dermatologist will then swab or spray a small amount of liquid nitrogen on the area. The area may tingle or burn slightly. The skin tag should fall off in 10 to 14 days. (6)
Reducing skin friction — like, not wearing necklaces that can rub on the skin — can help keep new tags from developing, says Nguyen, who adds that removed skin tags don’t typically grow back, though new ones may grow in the same general area where tags have previously popped up. A healthy diet and lifestyle can help keep blood sugar level low, which may also help prevent skin tags from forming.
While the unpredictability of skin tags might give off the impression that they’re uncontrollable, this isn’t entirely true. Laura Korb Ferris, MD, says that skin tags are more common in overweight or obese people, and are also associated with insulin resistance and diabetes. As such, maintaining a healthy weight may help reduce skin tag trouble. Basically, think of tags as a barometer of your health. If you live a poor lifestyle, eat a lot of saturated fats, consume too much sugar, and maintain an unhealthy BMI, your body could be alerting you there’s a problem.
Hemorrhoids (piles) are swollen veins in the rectum and anus. Causes include pregnancy, obesity, diarrhea, low-fiber diet, and prolonged sitting on the toilet. Treatment varies depending upon the severity of the hemorrhoids. Some treatment options include over-the-counter creams and suppositories, stool softeners, warm sitz baths, and hemorrhoidectomies.
Trying to save some money I tried out a couple of mole removal products online with varied results. I eventually saw Amoils' product in a natural health store I was browsing in the city. It was reasonably priced so I bought it and started applying to one mole on my face as I got to the car. I wanted to start on one mole first to get the most out of the bottle and see what the results would be like. Boy let me tell you my skin is looking great! The product started to improve the appearance of my mole over time and now I'm left with smooth, beautiful looking face. I wish I had found this product first. I have now ordered a large bottle to beautify some other areas that have been bothering me. Thank you kindly. * - Lisa
Wow, you guys are a top notch firm! I had a few questions before getting your product so I called customer service and the kind lady on the phone was extremely friendly and so helpful. She processed the order for me and 3 days later the product was in my mailbox. I immediately read the instructions and began using it. Within days I could see a huge difference and I am pleased to report excellent results after 2 weeks. Thank you so much for changing my life. Those horrible moles were something I never expected to change and boy has my view changed now! 5/5 from me! * - Marcia
Apply aloe vera. Aloe vera is often used as a remedy for skin conditions, such as cold sores, psoriasis, burns, and frostbite.[10] You can try applying aloe vera to your mole daily to see if this helps to get rid of it. Apply aloe vera to your mole, cover it with a clean cotton bandage, and let it sit for three hours. Repeat this daily for about three weeks to get rid of the mole.
Skin tags are thought to occur from skin rubbing up against skin, since they are so often found in skin creases and folds.[2] Studies have shown existence of low-risk HPV 6 and 11 in skin tags, hinting at a possible role in its pathogenesis.[4] Acrochorda have been reported to have a prevalence of 46% in the general population.[5] A causal genetic component is thought to exist.[6] They also are more common in women than in men. Acrochorda were once thought to be associated with colorectal polyps, but studies have shown no such connection exists.[7] Rarely, they can be associated with the Birt–Hogg–Dubé syndrome, acromegaly, and polycystic ovary syndrome.[8]

The implications of this differentiation help someone understand whether mole removal is covered by health insurance. So, cosmetic removal or removal of a mole because it is unsighly is not medically necessary and insurance will not cover this whereas insurance will cover the suspicious appearing mole. Regardless, the cost of mole removal will vary anywhere from $100 to $500 based upon size, location and shape.
Wow, you guys are a top notch firm! I had a few questions before getting your product so I called customer service and the kind lady on the phone was extremely friendly and so helpful. She processed the order for me and 3 days later the product was in my mailbox. I immediately read the instructions and began using it. Within days I could see a huge difference and I am pleased to report excellent results after 2 weeks. Thank you so much for changing my life. Those horrible moles were something I never expected to change and boy has my view changed now! 5/5 from me! * - Marcia
The causes of skin tags are not entirely clear but their presence in skin fold areas suggests that friction or frequent irritation is a potential cause. The condition appears to have a genetic component (there is a tendency for skin tags to occur in families) but other potential causes include hormonal imbalances. For example, skin tags are associated with agromegaly, the growth hormone disorder.
Insulin resistance, which may lead to type 2 diabetes and prediabetes, may also play a role in the development of skin tags. People with insulin resistance don’t absorb glucose effectively from the bloodstream. According to a 2010 study, the presence of multiple skin tags was associated with insulin resistance, a high body mass index, and high triglycerides.
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